Provider Demographics
NPI:1255570867
Name:FOLEY, JULIE MARIE (MS, LMFT)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:MARIE
Last Name:FOLEY
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5871 PINE AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-6537
Mailing Address - Country:US
Mailing Address - Phone:714-907-2570
Mailing Address - Fax:
Practice Address - Street 1:5871 PINE AVE STE 110
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709
Practice Address - Country:US
Practice Address - Phone:909-597-2226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84820106H00000X
CAIMF 75479106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist